摘要
目的 探讨循经点穴联合气交灸防治青少年轻中度单纯性近视的应用效果.方法 选取2023年1-6月于广东药科大学附属第一医院中医科护眼门诊就诊的30例10～19周岁青少年为研究对象,其中男16例,年龄(14.31±3.14)岁;女14例,年龄(13.00±2.86)岁,均予以循经点穴联合气交灸治疗,选取面部、耳部、膀胱经、督脉的穴位进行点按,此外在神阙穴进行气交灸治疗,每周3次,每2次间隔1d,共治疗12周.观察患者治疗前后的裸眼视力及眼局部症状.采用配对t检验.结果 治疗前,患者左眼视力(4.410±0.220)、右眼视力(4.373±0.160);治疗后,患者左眼视力(4.707±0.187)、右眼视力(4.700±0.137);治疗后双眼视力均较治疗前上升,差异均有统计学意义(t=137.549、188.652,均P＜0.001).治疗后,眼局部症状视物不持久、干涩、异物感、眼球酸胀、畏光流泪评分均低于治疗前[(1.367±0.490)分比(2.300±0.466)分、(1.367±0.490)分比(2.333±0.479)分、(1.400±0.498)分比(2.267±0.450)分、(1.167±0.379)分比(2.200±0.407)分、(1.333±0.479)分比(2.333±0.479)分],差异均有统计学意义(t=27.028、26.655、27.603、29.618、26.655,均P＜0.001).结论 循经点穴联合气交灸可以提高轻中度单纯性近视青少年患者的双眼视力,缓解眼局部症状,效果显著,值得推广.
Abstract
Objective To explore the application effect of acupoint pressing along the meridian combined with Qijiao moxibustion in preventing and treating mild to moderate simple myopia in teenagers.Methods A total of 30 teenagers aged 10 to 19 years were treated in the Eye Care Department of Traditional Chinese Medicine of the First Affiliated Hospital of Guangdong Pharmaceutical University from January to June 2023,among whom there were 16 males aged(14.31±3.14)years and 14 females aged(13.00±2.86)years.They all received acupoint pressing along the meridian combined with Qijiao moxibustion.Acupoints of face,ear,bladder meridian,and governor meridian were selected for point-pressing.In addition,Qijiao moxibustion treatment was performed at Shenque point,3 times a week,every 2 times at an interval of 1 d,for a total of 12 weeks.The uncorrected visual acuity(UCVA)and local ocular symptoms were observed before and after treatment.Paired t test was used.Results Before treatment,the visual acuity of left eye was(4.410±0.220),and that of right eye was(4.373±0.160);after treatment,the visual acuity of left eye was(4.707±0.187),and that of right eye was(4.700±0.137);after treatment,the visual acuity of both eyes increased compared with those before treatment,with statistically significant differences(t=137.549 and 188.652,both P＜0.001).After treatment,the scores of nonpersistence,dryness,foreign body sensation,eye acid distension,and photophobia of local ocular symptoms were lower than those before treatment[(1.367±0.490)points vs.(2.300±0.466)points,(1.367±0.490)points vs.(2.333±0.479)points,(1.400±0.498)points vs.(2.267±0.450)points,(1.167±0.379)points vs.(2.200±0.407)points,(1.333±0.479)points vs.(2.333±0.479)points],with statistically significant differences(t=27.028,26.655,27.603,29.618,and 26.655,all P＜0.001).Conclusion Acupoint pressing along the meridian combined with Qijiao moxibustion can improve the vision of both eyes in teenagers with mild and moderate simple myopia,and alleviate the local ocular symptoms,with significant clinical effect,which is worth promoting.
维普
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